Issue - Southern Medical Association

Review Article

Is Endurance Exercise Safe? The Myth of Pheidippides

With the increase in participation in endurance events in the general population, patient concern may arise as to whether endurance exercise is safe. Acute but not chronic increases in blood urea nitrogen, creatinine, and urine albumin occur in endurance exercise. Iron-deficiency anemia may be observed in female athletes. Upper respiratory…

Original Article

Evaluating the Burnout-Thriving Index in a Multidisciplinary Cohort at a Large Academic Medical Center

Objectives: There has been significant discussion about the quality of burnout research, especially with regard to abbreviated measurements of burnout and/or well-being. The purpose of this study was to compare a single-item, investigator-developed question measuring perceived well-being with validated multi-item measures of burnout and well-being.Methods: Between 2016 and 2017, healthcare…

Multidisciplinary Clinical Case Study

Mycobacterium fortuitum Meningitis: Approach to Lumboperitoneal Shunt Infection

Mycobacterium fortuitum is a rare, opportunistic pathogen most frequently contracted through contact with a contaminated source. An immunocompetent 26-year-old female patient presented to our institution with an infected lumboperitoneal (LP) shunt presenting as continued nonhealing wounds. After multiple debridements, shunt revisions, and wound closure failures, infectious disease specialists were consulted….

Posted in: Neurology11 Central Nervous System (CNS) Infections1

Original Article

Outcomes in an Interdisciplinary Diabetes Clinic in Rural Primary Care

Objective: The purpose of this study was to evaluate the effectiveness of an interdisciplinary diabetes team model of care in assisting patients to achieve improved glucose control in a primary care rural setting.Methods: A family medicine clinic at a rural university medical center developed an interdisciplinary diabetes team clinic composed…

Posted in: Endocrinology, Diabetes, and Metabolism20 Diabetes Mellitus5

Original Article

Objectively Measured Physical Activity and All-Cause Mortality Among Cancer Survivors: National Prospective Cohort Study

Objective: The understanding of the effects of physical activity on all-cause mortality among cancer survivors is limited. We attempted to draw a relation between physical activity and survival among those with a diagnosis of cancer.Methods: Data from the 2003–2006 National Health and Nutrition Examination Survey was used, with follow-up through…

Posted in: Medical Oncology29

Review Article

A Brief Review of the Pharmacology of Hyperkalemia: Causes and Treatment

Hyperkalemia is a common problem in both inpatients and outpatients. Many disease states (eg, chronic kidney disease) and medications may precipitate hyperkalemia. There are several drugs now available to treat hyperkalemia. Many of these drugs are relatively new. This review provides information regarding drug-induced causes of hyperkalemia and provides detailed…

Letter to the Editor

On “Importance of Interdisciplinary Medical Education: A Frontline Perspective”

To the Editor: We thank Pandey and Jackson for their article, “Importanceof Interdisciplinary Medical Education: A Frontline Perspective,” which aptly identified some of the key discourse on integrating interdisciplinary education into the medical degree.1

Original Article

CME Article: Comparison of Factors Identified by Patients and Physicians Associated with Hospital Readmission (COMPARE2)

Objective: Factors contributing to hospital readmission have rarely been sought from the patient perspective. Furthermore, it is unclear how patients and physicians compare in identifying factors contributing to readmission. The objective of the study was to identify and compare factors contributing to hospital readmission identified by patients and physicians by…

Original Article

Native Joint Septic Arthritis: Comparison of Outcomes with Medical and Surgical Management

Objective: To determine whether there are differences in the outcomes of native joint septic arthritis (SA) in adults, based on medical versus surgical management.Methods: A 10-year retrospective single-center study was conducted of patients admitted to a tertiary care hospital between January 1, 2006 and December 31, 2015 with a diagnosis…

Original Article

Open Access: Inconsistencies in Colonic Tattooing Practice: Differences in Reported and Actual Practices at a Tertiary Medical Center

Objectives: Accurate localization of a colonic lesion is crucial to successful resection. Although colonic tattooing is a widely accepted technique to mark lesions for future identification surgery or repeat colonoscopy, no consensus guidelines exist. The objective of this study was to determine whether the current tattooing practice at a tertiary…

Posted in: Gastroenterology30 Colonic And Anorectal Disease5

Invited Commentary

Commentary on “Is Endurance Exercise Safe? The Myth of Pheidippides”

I commend Ms Christine Rutlen and Dr David Rutlen for their dedication in developing this interesting treatise on the effects of long-distance running on the human body.1 They have striven to survey the pertinent literature with respect to the various organs potentially affected and to address how a question about…

Letter to the Editor

Know the New HIV Testing Guidelines?

To the Editor: Human immunodeficiency virus (HIV) testing identifies people infected with HIV.1 A positive assay confirms the diagnosis and provides an opportunity for lifesaving treatment. Accurate detection in an early stage of illness allows pharmacotherapy that could decrease disease severity and reduce viral transmission.2

Posted in: Infectious Disease49 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection7